Hasil Pencarian  ::  Simpan CSV :: Kembali

"Belum optimalnya penerapan standar asuhan keperawatan di ruang rawat inap merupakan suatu indikator masih kurangnya kualitas pelayanan keerawatan yang diterima oleh masyarakat. Peningkatan kualitas pelayanan tidak terlepas dari penerapan standar asuhan keperawatan yang telah ditentukan. Pelaksanaan standar asuhan keperawatan di ruang rawat inap dipengaruhi oleh peran kepemimpinan seorang kepala ruangan. Peningkatan kualitas kepemimpinan kepala ruangan juga ditentukan oleh gaya kepemimpinan yang dimiliki oleh seorang kepala ruangan.Penelitian dilakukan di RSUD Dr. H Abdul Moeloek Propinsi Lampung pada bulan Mei 2003. Disain penelitian deskriptif korelarional dengan metode pendekatan cross sessional. Sampel dalam penelitian ini sebanyak 106 responden dari 245 orang perawat pelaksana di ruang rawat inap. Pengumpulan data dilakukan dengan metode angket dengan menyebarkan kuesioner yang terdiri dari isian data karakteristik individu, kuesioner gaya kepemimpinan kepala ruangan dan kuesioner penerapan standar asuhan keperawatan.Hasil penelitian mendapatkan adanya korelasi antara gaya kepemimpinan kepala ruangan yang dipersepsikan oleh perawat pelaksana dengan penerapan standar asuhan keperawatan di ruang rawat inap (r = 0.265, p=0.006). Umur perawat pelaksana merupakan faklor counfonder terhadap gaya kepemimpinan kepala ruangan dan penerapan standar asuhan keperawatan (pl,009). Penelitian ini juga mendapatkan persarnaan penerapan standar asuhan keperawatan yang merupakan fungsi dari variabel gaya kepemimpinan kepala ruangan (Beta = 0,457), dan umur perawat pelaksana (Beta= -7,497) + konstanta (61,022). Dampak dari temuan ini adalah penerapan standar asuhan keperawatan dapat ditingkatkan dengan memperbaiki kemampuan kepemimpinan kepala ruangan khususnya penggunaan gaya kepernunpinan Berta melaksanakan penyegaran atau pelatihan kepada perawat pelaksana yang makin bertambah usia untuk mengurangi rutinitas atau kejenuhan dalam melaksanakan asuhan keperawatan diruangan.

---

Correlation Between Leadership Style of the Head Nurse and Implementation of Nursing Care Standard in Nursing Wards Of Dr. H. Abdul Moeloek Lampung Province Public HospitalThe application of nursing care standard in nursing wards that hasn't been optimum is an indicator about lack of nursing care quality that accepted by community. The increasing of service quality depends on implementation of nursing care standard that has been determined. The implementation of nursing care standard in nursing wards has been influent by leadership roles of the head nurse. The increasing of the quality head nurse's leadership is also determined by the style used.The research was using descriptive correlation design and cross sectional approach. The samples are taken from 106 respondents of 245 nurses. Data collecting by questionnaire has been spread directly to the chosen nurses. The questionnaire consists of a filler of an individual characteristic data, a questionnaire of head nurse's leadership style and a questionnaire of nursing care standard application.The research's result revealed that a correlation between the leadership style of the head nurse which perceived by staffs nursing and implementation of nursing care standard in nursing wards (r = 0,265, p 0,006). The age of nurse stall is a confound factor to leadership style of head nurse and implementation of nursing care standard (p = 0,009). Applications of nursing care standard that is function from variable of leadership style of had nurse ( Beta = 0,457) and age of nurse staff ( Beta = -7,497) + constant (61,022). The impact of this finding is the application of nursing care standard can be increased with improving the leadership capability of head nurse especially the using of leadership style and performing refreshing or training to nurse staffs that their age inercasingly in order to decrease routine or boredom in implementing nursing care in the ward."

"Pelaksanaan rotasi tidak sesuai jadwal yang telah ditentukan antara lain masih ada perawat yang terlalu cepat dirotasi dan ada yang sudah lama disatu ruangan belum mengalami rotasi serta kondisi ini berdampak terjadinya kecemburuan sosial, hubungan yang tidak kondusif pada lingkungan kerja yang akhirnya menurunkan produktivitas kerja. Penelitian ini bertujuan untuk mengetahui hubungan antara lamanya waktu rotasi dan karakteristik perawat dengan produktivitas kerja.Penelitian ini dilakukan di RSUD Dr. H Abdul Moeloek Propinsi Lampung pada bulan Juni 2003. Desan penelitian menggunakan deskriptif korelasional dengan metode pendekatan cross sectional. Sampel penelitian sebanyak 169 dari 289 orang perawat di ruang rawat inap yang dipilih secara acak. Pengumpulan data dilakukan oleh peneliti dengan menggunakan angket yang mencakup lamanya waktu rotasi, karakteristik perawat dan produktivitas kerja. Analisa data menggunakan uji Chi Squre dan regresi logistik untuk memperoleh fakior yang paling dominan mempengaruhi produktivitas kerja.Hasil penelitian didapatkan karakteristik perawat pelaksana yaitu; umur dengan rentang 31- 40 tahun 43,2 %, jenis kelamin perempuan 60,9 %, pendidikan D III dan S 1 Keperawatan 69,8 %, lama kerja dengan waktu 5 - 15 tahun 57,4 %, sikap perawat kurang mendukung 57,5 %. yang belum pernah mengikuti pelatihan 80,5 %, lamanya waktu rotasi lebih dari 3 tahun 43,2 % dan produktivitas kerja perawat yang produktif 54,4 %. Dari uji korelasi didapatkan hubungan yang bermakna adalah variabel umur, lama kerja terhadap produktivitas kerja (p = 0,042), (p = 0,036).Implikasi dari penelitian ini adalah perlu desain ulang tentang rotasi kerja pada Bidang Keperawatan, bahwa waktu rotasi menjadi tidak bermakna, oleh karena itu rotasi lebih menekankan pada peminatan staf, menjaga dan meningkatkan produktivitas kerja dengan melaksanakan pelatihan-pelatihan pada perawat yang berusia dibawah 30 tahun dan diatas 41 tahun serta melaksanakan refresing keperawatan terhadap perawat yang mempunyai lama kerja lebih dari 15 tahun.Daftar Pustaka 54 ( 1980-2003)

---

The Relationship between Rotation Schedule, Nurses Characteristics and Nursing Productivity of Staff Nurses at RSUD Dr. H. Abdul Moeloek, Lampung Province Public Hospital 2003 The Implementations of rotation nurses has not been worked to schedule on the hospital. This conditions produced some problems for the hospital management system. Some staff nurses were too fast to be rotated and other side some were also being maintained in on clinical area. The felling of jealous produce is not conducive work place an indirectly it leads to increment of work productivity.

The research was using descriptive correlation design and cross sectional approach. The samples are taken from 169 respondent of 289 nurses. Data collecting by questionnaire has been spread directly to the chosen nurses in the random sampling methods. A questionnaire that consist of rotations periods, a questionnaire an individuals characteristic data, and a questionnaire of work productivity nursing. Analysis data was using Chi Square on bivariate, and logistic regression on multivariate.

The research result respondent of age 31-40 years are 43,2%, sex proportion of females are 60,9%, Diploma and Bachelor graduates are 69,8%, working periods 5 - 15 years are 57,4%, unsupportive nurses attitude are 57,5%, the nurses who not got training are 80,5%, rotation periods > 3 years are 43,2% and nurses work productivity are 54,4%. The correlation test showed that there significant correlation between age and work productivity (p= 0,042) and working periods and work productivity (p= 0,036).

The impact of this finding is necessary to redesign the rotation program at the nursing division regarding to the interest of the nurse, protection and increasing work productivity through the implementation training program for nurses the 41 years old and implementation the refreshing program for nurses working period the more than 15 years.

Bibliography 55 (1980 - 2002)"

"Kepala ruangan mempunyai tanggung jawab untuk mengontrol kegiatan keperawatan di ruangan. Oleh karena itu kepala ruangan seharusnya memiliki kompetensi yang baik Studi ini menggunakan desain kuantitatif dengan cross sectional dimana tuiuan penelitian ini adalah untuk menggali dan mengidentifikasi faktor - faktor yang berhubungan dengan kemampuan kepala ruangan termasuk karakteristik individu dan organisasi.Pengumpulan data dilakukan di 7 rumah sakit di wilayah Tangerang dengan responden 74 kepala ruangan. Setelah mendapat izin dari rumah sakit, responden diberikan kuesioner untuk diisi.Analisa Chi Square digunakan untuk mengidentifikasi faktor-faktor yang berhubungan dengan kemampuan kepala ruangan. Uji regresi logistik digunakan untuk mengetahui faktor yang paling berhubungan dengan kemampuan kepala ruangan dan analisa multivariat dilakukan dengan menggunakan uji regresi logistik.Hasil dari penelitian ini menunjukkan hubungan antara karakteristik organisasi dengan kemampuan kepala ruangan. Hasil uji menunjukkan bahwa ada hubungan antara uraian tugas, struktur organisasi dan kebijakan organisasi dengan kemampuan kepala ruangan dengan P < 0,05. Sementara karakteristik individual tidak berhubungan dengan kemampuan kepala ruangan dengan P > 0,05. Faktor yang dominan berhubungan dengan kemampuan kepala ruangan adalah jenis kelamin dan struktur organisasi.

---

Factors that Associated with the Competency of Nursing Unit Managers in Hospitals in Tangerang Nursing unit manager as lower managers have responsibility to control nursing activities in the ward. Therefore lower managers should have a good competency. This study is quantitative study with cross sectional design that has been cultivated, to explore and to identify factors associated with competency of nursing unit managers including individuals and organizational characteristics.

Analysis of this study consisted of univariat, bivariat and multivariat. This research use categorical data in independent and dependent variables. Therefore bivariat analysis was Chi - Square and logistic regression as multivariate analysis.

Some of variables has been tested, included of individual `s factors, such as: age, sex, leng of work, formal education, marital status; and organization's characteristic, such as: job description; organization structure, organizational roles and resources. The results have shown the relationship between organization's characteristic with competency of nursing unit managers. From independent variables that have tested by Chi-Square, its just 3 variables have associated with the competency of nursing unit managers; they are job description, organization structure and organizational policy with P-Value - less than 0,05. Meanwhile individual's characteristic has not associated with the competency of nursing unit managers. The factors that have dominant associated with the competency of nursing unit managers were sex and organizational structure. Hopefully this result could use in chosen nursing unit managers."

"Adanya pengawas minum obat seharusnya mampu meningkatkan klien TBC patuh tetapi angka konversi BTA negatip masih dibawah target Nasional (80%). Tujuan dari penelitian ini untuk menguji hubungan antara pengawas minum obat oleh keluarga dan petugas kesehatan dengan pengetahuan, perilaku pencegahan dan kepatuhan klien TBC di Kabupaten Wonosobo. Sedangkan desain yang digunakan deskriptif korelasi dengan pendekatan cross sectional. Total sampel yang memenuhi kriteria inklusi yang digunakan pada studi berjumlah 72 responden. Instrumen dibuat sendiri dan diuji validitas (r hitung > r tabel=0,361) dan reliabilitas dengan a=0,9298 (pertanyaan peran PMO), a = 0,9076 (pertanyaan pengetahuan), a = 0,8076 (pertanyaan perilaku pencegahan), a = 0,6631 (pertanyaan kepatuhan). Untuk menguji hubungan antara PMO oleh keluarga dan petugas kesehatan dengan pengetahuan, perilaku pencegahan dan kepatuhan klien TBC digunakan Product Moment Pearson's Correlation Coefficient. Selanjutnya hubungan tersebut akan dikontrol dengan karakteristik PMO maupun klien TBC.Hasil penelitian ini menunjukkan bahwa hubungan peran PMO oleh keluarga dengan pengetahuan klien TBC menunjukkan Hubungan peran PMO oleh keluarga dengan perilaku pencegahan klien TBC menunjukkan hubungan yang kuat (r=0,656) dan berpola positip. Ada hubungan yang signifikan antara PMO oleh keluarga dengan perilaku pencegahan klien TBC (p=0,0001 ). Hubungan peran PMO petugas dengan pengetahuan klien TBC menunjukkan hubungan kuat (r=0,706) dan berpola positip. Hubungan peran PMO petugas dengan perilaku pencegahan klien TBC menunjukkan hubungan kuat (r=0,673) dan berpola positip. Hubungan peran PMO petugas dengan kepatuhan klien TBC menunjukkan hubungan sedang (r=0,553) dan berpola positip. Ada hubungan yang signifikan antara peran PMO petugas dengan pengetahuan, perilaku pencegahan dan kepatuhan klien TBC. Variabel confounding (umur baik dari PMO oleh keluarga dan petugas kesehatan maupun klien TBC yang diawasi) tidak berpengaruh terhadap hubungan peran PMO keluarga dengan pengetahuan, perilaku pencegahan dan kepatuhan klien TBC.Dari hasil penelitian ini dapat disimpulkan bahwa ada hubungan yang kuat antara peran PMO keluarga terhadap perilaku pencegahan klien TBC, dan ada hubungan yang kuat antara peran PMO petugas terhadap pengetahuan, perilaku pencegahan dan kepatuhan kIien TBC agar program penatalaksanaan TBC berhasil, harus ada kunjungan rumah dari petugas kesehatan (perawat kornunitas) untuk memantau perilaku pencegahan dan kepatuhan pengobatan klien TBC.

---

The program of TB drug observer should be increased the TB client in adherence, but the national number of the negative result of Tuberculosis diagnostic still below the national target (80%). The goal of this study was to know the correlation between TB Drug Observer by the Family and Health Worker with the Knowledge, Behavior and Adherence of TB patient. This study was used descriptive correlation design with cross sectional approach. The total sample of this study where that matches with the inclusive criteria was 72 TB patients. The instruments were self prepared by the researcher with validity test (counted r>tabled r 0.361) and the reliability test with a=0,9298 (TB drug observer role), a=0.9076 (knowledge), a=0.8067 (prevention behavior), a=0,6631 (adherence). Product Moment Pearson's Correlation Coefficient was used to analyze the correlation between TB Drug Observer by the Family and Health Worker with the Knowledge, Behavior and the Adherence of TB patient.

The result of this study showed a strong correlation between the family TB Drug Observer to the prevention Behavior (r=0,656) in positive pattern. The significant correlation family TB Drug Observer to the prevention TB behavior (p=0.0001). Another result showed a strong correlation between health workers TB Drug Observer to the knowledge of the patient (r=0.706) in positive pattern. Also the result showed a strong correlation between health workers TB Drug Observer to the prevention TB behavior (r=0.673) in positive pattern. And there was a mild correlation also between health workers TB Drug Observer to the adherence of TB medication (r=0.553) in positive pattern. There was also a significant correlation between health workers TB Drug Observer role to the knowledge, TB prevention behavior and TB medication adherence. Confounding variables were not having correlation to the family TB Drug control Adherence Observer role to the knowledge, TB prevention behavior and TB medication.

The conclusion from this study showed a strong correlation between family TB drug observer and the prevention behavior, and a strong correlation between health worker TB drug observer and the knowledge, prevention behavior and adherence of the patient. This study suggested that the community nurse should keep visit the family to observe and maintain the prevention behavior and adherence to the TB medication program."

"Perilaku Hidup bersih dan sehat rumah tangga pada tahun 2010 di Indonesia masih rendah. Tatanan keluarga seharusnya menjadi tempat penanaman perilaku dan kebiasaan hidup bersih dan sehat. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan penerapan perilaku hidup bersih dan sehat (PHBS) di Kelurahan Cisalak Pasar Kota Depok. Metode penelitian menggunakan rancangan deskriptif korelasional dengan pendekatan cross sectional dan jumlah sampel sebanyak 105. Analisis data menggunakan chi square dan regresi logistik. Hasil penelitian menunjukan ada hubungan yang bermakna antara dukungan emosional, instrumental, informasional dan penghargaan dengan penerapan perilaku hidup bersih dan sehat dalam keluarga, (p< 0,05). Analisis lebih lanjut dengan regresi logistik menunjukan bahwa hubungan instrumental paling dominan dalam penerapan PHBS keluarga. Dukungan intrumental perlu ditingkatkan dalam meningkatkan penerapan PHBS. Dukungan keluarga direkomendasikan untuk perawat komunitas dapat menfasilitasi dan memberikan dukungan keluarga untuk meningkatkan perilaku hidup bersih dan sehat ( PHBS).

---

A clean and healthy behavior of households in Indonesia in 2010 is still low. Family structure should be a place of investment behavior and healthy living habits. Family support have predicted important role in living clean and healthy behaviors in household. The purpose of this study was exploring the relation between the family support and healthy behaviour ( PHBS) in Cisalak Pasar, Depok. The method applied was correlational descriptive design with cross sectional approach, the sample 105 housewives representing their family randomly selection. The data analiysis was conducted using chi square and logistic regression.

The result of analysis shows that there is a significant relation between the emotional, informational, instrumental, and appreciation support of the family and healthy behaviour in family, (p<0,05). A further analiysis proves that the instrumental support was the most important factor for clean and health behavior in family. In conclusion that, the instrumental support of the family members has an important role in improving health behavior in family. Family support As recommended to the community health nurse who responsibility to implement PHBS need to facilities and provide instrumental support to increase clear and healthy behaviour."

"Penyakit menular merupakan masalah kesehatan yang diprioritaskan dalam pembangunan kesehatan masyarakat di Indonesia. Penelitian bertujuan mengetahui hubungan dukungan keluarga dalam pencegahan dengan kejadian demam berdarah pada anggota keluarga di Kelurahan Langenharjo Kabupaten Kendal. Desain penelitian menggunakan cross sectional dengan metode pengambilan sampel secara cluster sampling, sejumlah 108 responden. Hasil penelitian menyatakan ada hubungan dukungan informasi, emosional, penghargaan dan instrumental dengan kejadian demam berdarah. Dukungan informasi keluarga merupakan dukungan yang paling dominan dalam pencegahan kejadian demam berdarah dengan signifikasi (p=0,002). Dukungan informasi keluarga sangat penting dan perlu ditingkatkan dalam pencegahan demam berdarah, Dukungan keluarga direkomendasikan bagi perawat di pelayanan kesehatan masyarakat agar dapat memfasilitasi dan memberikan dukungan bagi keluarga dalam menurunkan risiko kejadian demam berdarah.

---

Infectious diseases is a priority health problem in the development of public health in Indonesia. The study aims to determine the relationship of family support in the prevention of dengue fever occurrence in family members in the Village Langenharjo Kendal. Using a cross-sectional study design with cluster sampling method sampling, a number of 108 respondents. The study states there is a relationship of support information, emotional, and instrumental awards with dengue incidence. Support family information is most dominant support in the prevention of dengue fever occurrence with significance (p = 0.002). Support is very important family information and needs to be improved in the prevention of dengue fever, family support is recommended for nurses in the public health services in order to facilitate and provide support to families in lowering the risk of dengue fever occurrence."

"Komitmen organisasi adalah perasaan dan sikap karyawan terhadap segala sesuatu yang berkaitan dengan organisasi. Program retensi adalah kegiatan untuk maintenance dan meningkatkan kondisi fisik, mental, dan loyalitas karyawan agar tetap mau bekerjasama sampai masa pensiun. Tujuan penelitian ini adalah melihat hubungan Program Retensi dengan komitmen perawat pelaksana di Rumah Sakit Anak dan Bunda Harapan Kita. Desain penelitian kuantitatif dengan rancangan penelitian crosectional dengan sampel 105 perawat. Instrumen adalah kuesioner. Hasil penelitian program retensi yang berhubungan bermakna dengan komitmen organisasi perawat pelaksana komunikasi (p=0.031), insentif (p=0,000), seleksi dan orientasi (p=0,000), jenjang karir (p=0,043) Penelitian ini menunjukkan seleksi dan orientasi merupakan faktor yang dominan berhubungan dengan komitmen organisasi (p=0,005)Commitment of nursing organiztation is all employees? feelings and attitude toward everything associated with the organization and work. The purpose of this research was to determine the relationship between retention program with commitmen of nursing organization at Harapan Kita Maternity and Children Hospital. The design used in this study was descriptive cross-sectional with a sample of 105 nurses. and used questinaire as the relationship with commitment of nursing organization are communication (p=0,031); incentive (p=0,000); selection and orientation (p=0,000); and career path (p=0,043); while the prosperity, schedule flexibility, that selection and orientatation was the most dominat factor associated with organitational commitmen (p=0,005), the implementation of competency-based remuneration."

"Komitmen organisasi adalah perasaan dan sikap karyawan terhadap segala sesuatu yang berkaitan dengan organisasi. Program retensi adalah kegiatan untuk maintenance dan meningkatkan kondisi fisik, mental, dan loyalitas karyawan agar tetap mau bekerjasama sampai masa pensiun. Tujuan penelitian ini adalah melihat hubungan Program Retensi dengan komitmen perawat pelaksana di Rumah Sakit Anak dan Bunda Harapan Kita. Desain penelitian kuantitatif dengan rancangan penelitian crosectional dengan sampel 105 perawat. instrumen adalah kuesioner. Hasil penelitian program retensi yang berhubungan bermakna dengan komitmen organisasi pcrawat pclaksana komunikasi (p=0.03l), insenlif (p=0,000), seleksi dan orientasi (p=0,000), jenjang karir (p=0,043) Penelitian ini menunjukkan seleksi dan orientasi merupakan faktor yang dominan bcrhubungan dengan komitrnen organisasi (p=0,005).Commitment of nursing organiztation is all employees? feelings and attitude toward everything associated with the organization and work. The purpose of this research was to determine the relationship between retention program with commitmen of nursing organization at Harapan Kita Matemity and Children Hospital. The design used in this study was descriptive cross-sectional with a sample of |05 nurses. and used questinaire as the relationship with commitment of nursing organization are communication (p=0,031); incentive (p=0,000); selection and orientation (p=0,000); and career path (p=0,043); while the prosperity, schedule flexibility, that selection and orientatation was the most dominat factor associated with organitational comrnitmcn (p=0,005), the implementation of competency-based remuneration."

"ABSTRAK Prevalensi lansia penyandang demensia terus bertambah, sehingga lansia dengan risikodemensia harus dicegah agar tidak menjadi demensia. Senam GLO 30 menit tiga kali seminggu,aktifitas hobi, interaksi sosial dan dukungan keluarga mampu memelihara fungsi kognitiflansia. Tujuan inovasi CERDIK ASIK adalah untuk melihat pengaruh Aktifitas hobi, SenamGLO, Interaksi sosial dan dukungan Keluarga terhadap fungsi kognitif lansia. Metode yangdipilih adalah eksperimen semu tanpa kontrol dengan intervensi senam GLO, asuhankeperawatan komunitas dan keluarga selama 3 bulan. Sampel 20 lansia dari populasi 59 lansiadengan risiko, 10 keluarga lansia, kader kesehatan dan penanggungjawab program lansia diPuskesmas. Uji statistik menggunakan paired t test. Hasil uji menunjukan ada peningkatanpengetahuan, sikap dan keterampilan kader, keluarga dan tenaga kesehatan tentang demensia, serta pengaruh intervensi terhadap fungsi kognitif. Rerata MMSE pre intervensi = 22.30 (SD =1.34) dan pot intervensi menjadi 27.10, SD = 1.83 (p value = 0,000 < α = 5%). Perbedaanmean MMSE pre dan pos 4.8, SD=1.28 (p value = 0,000 < α = 5%). Implikasi; ProgramCERDIK ASIK menjadi pilihan intervensi untuk lansia risiko demensia di masyarakat dandasar penelitian selanjutnya. Kesimpulannya, implementasi program CERDIK ASIKmeningkatkan fungsi kognitif secara signifikan. ABSTRACT The prevalence of older people with dementia continues to grow , so seniors with the risk of dementiamust be prevented so not become dementia. GLO Gymnastics for 30 minutes three times a week, combined with hobby activities, social interaction and support of family is able to maintaincognitive functions of the elderly. The purpose of the innovation project was to see theinfluence of CERDIK ASIK Activities, GLO gymnastics , social interaction and support ofFamilies on elderlies? cognitive function. The method selected was quasi experiments withoutcontrol by intervention of gymnastic GLO, nursing care of the community and the family for 3months. A sample of 20 elderly population from 59 at risk elderly, 10 families, elderly cadresresponsible for the health and elderly program at the clinic. Statistical tests using the paired ttest showed there was is an increase in knowledge, attitudes and skills cadres, family andparamedics about dementia , as well as the influence interventions affecting cognitive function.Pre intervention average MMSE = 22.30 (SD = 1.34) to 27.10, SD = 1.83 (p value = 0.000 < α= 5%). The difference in MMSE mean pre and post 3.0, SD = 1.28 (p value = 0.000 < α = 5%).Implication; program cerdikasik be an option intervention to elderly risk dementia in thecommunity and the base of the next research.In conclusion, the implementation of CERDIKASIK program improved cognitive function significantly.;The prevalence of older people with dementia continues to grow , so seniors with the risk of dementiamust be prevented so not become dementia. GLO Gymnastics for 30 minutes three times a week, combined with hobby activities, social interaction and support of family is able to maintaincognitive functions of the elderly. The purpose of the innovation project was to see theinfluence of CERDIK ASIK Activities, GLO gymnastics , social interaction and support ofFamilies on elderlies? cognitive function. The method selected was quasi experiments withoutcontrol by intervention of gymnastic GLO, nursing care of the community and the family for 3months. A sample of 20 elderly population from 59 at risk elderly, 10 families, elderly cadresresponsible for the health and elderly program at the clinic. Statistical tests using the paired ttest showed there was is an increase in knowledge, attitudes and skills cadres, family andparamedics about dementia , as well as the influence interventions affecting cognitive function.Pre intervention average MMSE = 22.30 (SD = 1.34) to 27.10, SD = 1.83 (p value = 0.000 < α= 5%). The difference in MMSE mean pre and post 3.0, SD = 1.28 (p value = 0.000 < α = 5%).Implication; program cerdikasik be an option intervention to elderly risk dementia in thecommunity and the base of the next research.In conclusion, the implementation of CERDIKASIK program improved cognitive function significantly.;The prevalence of older people with dementia continues to grow , so seniors with the risk of dementiamust be prevented so not become dementia. GLO Gymnastics for 30 minutes three times a week, combined with hobby activities, social interaction and support of family is able to maintaincognitive functions of the elderly. The purpose of the innovation project was to see theinfluence of CERDIK ASIK Activities, GLO gymnastics , social interaction and support ofFamilies on elderlies? cognitive function. The method selected was quasi experiments withoutcontrol by intervention of gymnastic GLO, nursing care of the community and the family for 3months. A sample of 20 elderly population from 59 at risk elderly, 10 families, elderly cadresresponsible for the health and elderly program at the clinic. Statistical tests using the paired ttest showed there was is an increase in knowledge, attitudes and skills cadres, family andparamedics about dementia , as well as the influence interventions affecting cognitive function.Pre intervention average MMSE = 22.30 (SD = 1.34) to 27.10, SD = 1.83 (p value = 0.000 < α= 5%). The difference in MMSE mean pre and post 3.0, SD = 1.28 (p value = 0.000 < α = 5%).Implication; program cerdikasik be an option intervention to elderly risk dementia in thecommunity and the base of the next research.In conclusion, the implementation of CERDIKASIK program improved cognitive function significantly.;The prevalence of older people with dementia continues to grow , so seniors with the risk of dementiamust be prevented so not become dementia. GLO Gymnastics for 30 minutes three times a week, combined with hobby activities, social interaction and support of family is able to maintaincognitive functions of the elderly. The purpose of the innovation project was to see theinfluence of CERDIK ASIK Activities, GLO gymnastics , social interaction and support ofFamilies on elderlies? cognitive function. The method selected was quasi experiments withoutcontrol by intervention of gymnastic GLO, nursing care of the community and the family for 3months. A sample of 20 elderly population from 59 at risk elderly, 10 families, elderly cadresresponsible for the health and elderly program at the clinic. Statistical tests using the paired ttest showed there was is an increase in knowledge, attitudes and skills cadres, family andparamedics about dementia , as well as the influence interventions affecting cognitive function.Pre intervention average MMSE = 22.30 (SD = 1.34) to 27.10, SD = 1.83 (p value = 0.000 < α= 5%). The difference in MMSE mean pre and post 3.0, SD = 1.28 (p value = 0.000 < α = 5%).Implication; program cerdikasik be an option intervention to elderly risk dementia in thecommunity and the base of the next research.In conclusion, the implementation of CERDIKASIK program improved cognitive function significantly.;The prevalence of older people with dementia continues to grow , so seniors with the risk of dementiamust be prevented so not become dementia. GLO Gymnastics for 30 minutes three times a week, combined with hobby activities, social interaction and support of family is able to maintaincognitive functions of the elderly. The purpose of the innovation project was to see theinfluence of CERDIK ASIK Activities, GLO gymnastics , social interaction and support ofFamilies on elderlies? cognitive function. The method selected was quasi experiments withoutcontrol by intervention of gymnastic GLO, nursing care of the community and the family for 3months. A sample of 20 elderly population from 59 at risk elderly, 10 families, elderly cadresresponsible for the health and elderly program at the clinic. Statistical tests using the paired ttest showed there was is an increase in knowledge, attitudes and skills cadres, family andparamedics about dementia , as well as the influence interventions affecting cognitive function.Pre intervention average MMSE = 22.30 (SD = 1.34) to 27.10, SD = 1.83 (p value = 0.000 < α= 5%). The difference in MMSE mean pre and post 3.0, SD = 1.28 (p value = 0.000 < α = 5%).Implication; program cerdikasik be an option intervention to elderly risk dementia in thecommunity and the base of the next research.In conclusion, the implementation of CERDIKASIK program improved cognitive function significantly."

"Lansia hipertensi merupakan kelompok rentan (vulnerable) karena adanya perubahan fisiologis sistem kardiovaskuler, keterbatasan sumber daya ekonomi, gaya hidup tidak sehat dan berbagai kejadian kehidupan seperti kehilangan pasangan serta meningkatnya prevalensi hipertensi dari tahun 2007 sebesar 7,2% menjadi 9,4% pada tahun 2013. Penulisan Karya Ilmiah Akhir ini bertujuan untuk mengetahui pengaruh intervensi MANSET HT terhadap pengendalian hipertensi pada lansia dengan menggunakan integrasi model teori manajemen, Community as Partner, Familiy Centered Nursing, dan Self Care Activity. Besar sampel 30 lansia dengan hipertensi. Intervensi selama 9 bulan terdiri dari kombinasi relaksasi meditasi, olahraga, relaksasi otot progresif dan pengaturan diet hipertensi. Hasil uji statistik terjadi penurunan tekanan darah yang signifikan (p value 0,000). Intervensi terbukti efektif sehingga direkomendasikan sebagai salah satu program pembinaan kesehatan lansia secara berkelanjutan oleh Dinas Kesehatan dan Puskesmas melalui program perawatan kesehatan masyarakat.

---

Elderly with hypertension is one of the vulnerable groups. The factors that influence the vulnerability in elderly with hypertension consist of cardiovascular system changes due to the aging process, the economic resources, unhealthy lifestyle and life events such as loss of partner. The prevalence of hypertension in Indonesia increased from 7.2% in 2007 to 9.4% in 2013. The purpose of this study was asses the effect of the intervention MANSET HT to control hypertension in the elderly using the integration model of management theory, the community as a partner, familiy centered nursing, and self-care activity. MANSET HT intervention was conducted on 30 elderlies with hypertension for 9 months consisted of a combination of relaxation meditation, exercise, progressive muscle relaxation and hypertension diet management. Statistical test results showed a significant decrease in blood pressure after the intervention (p value 0.000). This intervention was effective to control the hypertension. It is recommended that elderly health coaching program development should be done in a sustainable manner in the ministry of health and community health center by community nursing cara programme."